Record notes from the nurses perspective as it relates to the residents progress/lack of progress toward goals as identified in the Interdisciplinary Care Plan (CFS 5-12). Also record response/lack of response to treatment, change in condition and follow-up, and notification/informed consent documentation with resident, family, physician and other health care providers.
8 1/2" x 11", white paper, black ink, printed two sides same, 5-hole punched top or side, padded in 100s.
